Save Gender Feminine Usage Japanese Scripts える沙(Kanji/Hiragana) 絵留砂, 恵瑠咲, etc.(Japanese Kanji) Pronounced Pron. E-ṘUU-SAH [key] Meaning & History From Japanese 絵 (e) meaning "draw, sketch, paint", 留 (ru) meaning "to stay" combined with 砂 (sa) meaning "sand". Other kanji combinations are possible.Usage of this name is, most likely, influenced by the name Elsa.